Victory Tampa Medical Pharmacy

LBN: Vt Pharmacy Inc
Victory Tampa Medical Pharmacy is an health care organization with primary practice located at 19300 Vanowen St , Reseda CA 91335-5022. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Vt Pharmacy Inc can be contacted via phone (818) 345-6111, or through Feiles, Robert via phone (818) 345-6111.

Contact Information

Primary practice address
19300 Vanowen St Reseda CA 91335-5022
Phone: (818) 345-6111
Fax: (818) 345-6531
Website:
Map and Directions
Authorized official contact:
Name: Feiles, Robert RPH
Phone: (818) 345-6111

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY22006 California

Profile Details

NPI number 1033106083
LBN Legal business name Vt Pharmacy Inc
DBA Doing business as Victory Tampa Medical Pharmacy
Authorized official Feiles, Robert RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated Nov 23rd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033106083 NPPES
California MEDICAID PHA220060
California Other 2076835

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